Individual
DELMAS J BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 W CALHOUN ST, SALEM, VA 24153-3836
(540) 772-1890
(540) 772-1893
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101233203
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010054427
—
VA
Enumeration date
03/03/2006
Last updated
10/20/2020
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